Individual
AUTUMN WIND SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4058 S LONE PINE AVE, SPRINGFIELD, MO 65804-6605
(417) 763-5414
Mailing address
1554 N PEARSON DR, SPRINGFIELD, MO 65802-9436
(417) 763-5414
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
08/21/2025
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